Individual
DR. MADHAVA REDDY BEERAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 935-4000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J5697
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
J5697
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86J289
BLUE SHIELD
TX
Enumeration date
03/23/2006
Last updated
03/26/2020
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